--- title: The paradigm is shifting description: The paradigm is shifting --- [![The Wilshire Group](https://info.thewilshiregroup.net/hs-fs/hubfs/Full%20TWG%20Black.png?width=500&height=223&name=Full%20TWG%20Black.png "The Wilshire Group")](https://thewilshiregroup.net/) - ![phone_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-phone.png)  (310) 699-2017 [![mail_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-email15.png)  info@thewilshiregroup.net](mailto:info@thewilshiregroup.net) - - - - Receive Updates - ![phone_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-phone.png)  (310) 699-2017 [![mail_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-email15.png)  info@thewilshiregroup.net](mailto:info@thewilshiregroup.net) - - - - Receive Updates # The Wilshire Group Blog [Home](https://thewilshiregroup.net/) | [The Wilshire Group Blog](https://info.thewilshiregroup.net/blog) | The paradigm is shifting # The paradigm is shifting by [Mark LeBlanc](https://info.thewilshiregroup.net/blog/author/mark-leblanc) February 20, 2015 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership), [CDI](https://info.thewilshiregroup.net/blog/tag/cdi), [ICD-10](https://info.thewilshiregroup.net/blog/tag/icd-10) I was reading an [article](http://www.hcpro.com/HIM-313366-5707/News-CDI-role-listed-among-new-job-titles-related-to-healthcare-reform.html) today about healthcare reform and the affordable care act, which linked an increase in CDI staff with the increased use of electronic health records. I began to reflect on the past 10+ years in the Clinical Documentation Integrity field. We have gone from just looking for a single opportunity to move a DRG for financial enhancement to looking at the accuracy, compliance and integrity of the documentation produced by providers. We are gearing up for the transition from ICD-9 to ICD-10, which will provide for another shift in the work of CDI around more specificity and the codes to more accurately describe the diagnostic terms. The affordable care act has also shifted the paradigm of healthcare reimbursement to quality and outcomes-based. HCC, PSI, and HAC will continue to drive reform in healthcare that will hopefully produce the patient care that we all strive to obtain. ### Subscribe Here! ### Archives - [May 2015 (8)](https://info.thewilshiregroup.net/blog/archive/2015/05) - [June 2018 (8)](https://info.thewilshiregroup.net/blog/archive/2018/06) - [October 2018 (6)](https://info.thewilshiregroup.net/blog/archive/2018/10) - [May 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/05) - [June 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/06) - [March 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/03) - [April 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/04) - [October 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/10) - [March 2020 (5)](https://info.thewilshiregroup.net/blog/archive/2020/03) - [July 2015 (4)](https://info.thewilshiregroup.net/blog/archive/2015/07) - [July 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/07) - [August 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/08) - 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